Tallahassee Memorial HealthCare


Tallahassee, FL


Architecture, Interior Design, MEP Engineering, Experiential Design and Wayfinding, Planning


2020 AIA Jacksonville Award of Excellence

2021 CHD Platinum Touchstone Award

2022 IIDA North Florida Design Award

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The M.T. Mustian Center, Tallahassee Memorial HealthCare’s (TMH) new surgery and critical care tower, provides state-of-the-art critical care services with cutting-edge adult intensive care units to meet the growing demand in the region. Gresham Smith worked with TMH from inception to completion, developing a master plan that would anticipate the region’s needs for the next 50 years with a building that could adapt to emerging technologies as well as growth.

Using Lean design and a research-backed, human-centered approach, we created a space that supports enhanced care, building efficiency and staff effectiveness. We also designed upgrades to the parking garage and associated hospital entrances as well as the main atrium to further improve the patient and visitor experience.

square-foot tower
ICU beds
stories, with vertical expansion opportunity

Carefully Planned, Designed for the Future

Named in honor of the hospital’s former president and longtime administrator, the late Middleton Truet “M.T.” Mustian, the new patient tower is a result of years of careful planning. In 2011, we developed a master plan, and in 2014, we began the design process. The result is a highly flexible building with 27 standard ORs—including five hybrid ORs, four of which are interventional radiology suites—as well as support services to increase surgery capacity.

A 13,000-square-foot expansion to the central energy plant supports the entire patient tower, while the facility can accommodate two future floors above and support spaces sized for a future OR expansion.

mural in hall
nurse and staff breakroom

Optimizing for Both Experience and Efficiency

We employed Lean Six Sigma principles and tools to improve staff efficiency and effectiveness, while looking for ways to lower operational costs.

We also incorporated evidence-based design solutions for improved patient outcomes and satisfaction. These included staff respite areas, minimizing noise and patient movement, comfortable and family-friendly areas, connectivity to nature and various-infection control strategies.

patient room
patient room

The Importance of Facetime

We designed the facility to maximize patient visualization and interaction. Besides charting locations, there are distributed support spaces—which help minimize travel distances—and nurse observation perches outside every ICU room.

Integrated technology supports cutting-edge care as well as efficiency. Building-wide asset management and smart, autonomous mobile robots that deliver materials means less time searching for equipment and supplies and more time with patients.

balcony seating
main lobby

The Power of the First Impression

In conjunction with the M.T. Mustian project, TMH needed to address wayfinding issues for the visitor and patient experience through parking garage and atrium updates.

Nearly all visitors enter the hospital through a large parking garage that leads to the Dozier atrium. However, the garage was dark and confusing. We designed upgraded vestibules and lighting, and added large, backlit artwork for visual cues.

Previously, the atrium was dark with limited sightlines, with the translucent roof becoming dingy over the years. The natural light provided by the new ceiling and sleek, cohesive lighting and finishes create a feeling reminiscent of an art gallery. We also created a monumental stair for connectivity in the two-story space and refreshed the existing coffee shop with a dedicated café seating area.


A Platform for Exceptional Care

Gresham Smith provided master planning, programming, architecture, interior design, wayfinding and mechanical, electrical and plumbing (MEP) engineering to help transform TMH’s campus and care through this new facility. A truly collaborative effort, we worked closely with their physicians, nurses, staff and community members, soliciting feedback to mock-ups.

The culmination of years of careful, strategic planning and design, the M.T. Mustian Center is a flexible, efficient and human-centric facility that provides clinicians and staff with the platform they need to provide exceptional care.

The M.T. Mustian Center will allow us to better meet the needs of our patients and their families by providing a state-of-the-art, patient- and family-centered platform for physicians, nurses and staff to deliver world-class, cutting-edge care. The project was an enormous undertaking requiring creativity, flexibility and collaboration by our team and our partners. Gresham Smith designed a sophisticated, highly technological, flexible design that equips us to serve the community for decades to come. Mark O’Bryant President & CEO, Tallahassee memorial Healthcare